HomeMy WebLinkAbout0116953-Building
e
OSHKOSH
ON THE WATER
Job Address 320 E FERNAU AVE
CITY OF OSHKOSH
No
116953
BUILDING PERMIT -APPLICATION AND RECORD
Owner M BRICKHAM HOLDINGS LLC
Create Date
10/24/2005
Designer
Contractor
DOWLING CONSTRUCTION INC
Category
211 - Alteration Industrial
Plan
Type
. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const:
Size
Unfinished/Basement ~Sq.Ft. Rooms 0
Finished/Living ~Sq.Ft. Bedrooms 0
Garage ~ Sq. Ft. Baths
Height
0 Ft.
0 Projection I
Canopies 0
Stories 1
Signs
Foundation
. Poured Concrete 0 Floating Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Permit Not Required
Flood Plain
Height Permit
# Dwellin9 Units ~
# Structures
0
Park Dedication
UseJNature MAchine Shop/ Create additional office on Mezzanine.
of Work
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuatio
$20,000.00 Plan Approval
$0.00 Permit Fee Paid
$124.00 Park Dedication
$0.00
Issued By:
Date 10/25/2005
Final/O.P. 00/00/0000
0 Permit Voided I
Parcelld # 1519603100
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any nece~sary approvals before startin such a;,livity.
Signature PI-' Date /6 - d~ -of"
Agent/Owner
Address PO BOX 3045
OSHKOSH
WI 54903 - 3045
Telephone Number
235-8021
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspeCtion is not performed within two business days from the time the project is ready.
BUILDINGS, HVAC, COMPLIANCE STATEMENT SBD-9720
This fonn is required to be submitted by the supervising professionai (architect, engineer, HVAC designer or electrical
designer) observing construction of projects within buildings with total areas 50,000 cubic feet or greater and bleachers
(Comm 50.10/Comm 61.50). Failure to submit this form may result in penalties as specified in Comm 50.26/Comm 61.23
and/or local ordinances. This form must be submitted prior to the plan approval expiration date or another submittal may
be required.
General Instructions: Prior to the initial occupancy of new buildings or additions and the final occupancy of
altered existing buildings, submit this completed and signed form to:
. The municipal building inspection office and
. Safety and Buildings, 10541N Ranch Road Hayward, Wi. 54843
Note: If the review was done by the municipality, the compliance statement goes only totfl\e~~~l'~in¡
~e~~oen~~~~;o~~~~yy~~ ~~~~::~:db~~S:::::~e~o~~~I~i~~r:~ses IPrivacy Law, s. 15.04 (1)(m)] r\. r: \.,;1 r: V E D
1. PROJECT INFORMATION: Please fill in the following with information from your plan approvalletteFrE' B 1 4 2006
Transaction ID Number BR Ck HAM I'MCt"HN ING COMPANY ,
Site Number DEPARTMENT OF
Site location (number & street) 3'20 ¡:;:AST FERNAU AVENUE. COMMUNITY DEVELOPMENT
j!¡ City 0 Village 0 Town of O$Hf<ð<;.+-I County of WINNEðA(:'(')
2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or D to indicate purpose and complete any other
applicable boxes and information. Attach additional pages if necessary,)
Check those which apply: 0 Building Object ID # 0 HVAC Object ID #
0 Lighting Object ID #
0 Partial Completion
Description of Portion Completed
AJ .w Statement of Substantial Compliance
. To the,best of my,knowledge, belief, and based on onsite observation, construction of the foilowing building and/or HVAC
""itemš'aþþlièàbÎè ¡bthis' pròjeclhåvè beêh'còn\þietåd'\lÏsÙbstäïítiarcamplia'hte-withthe approved plans and, .,"'"
specifications.' ',;,'.,,' <",0: ;,,'
BUILDING/LIGHTINGITEMS'" ",,',,",i', .., ;,.., """"=""-"" '
~,n: ,':1.",!s,t(u,ctur~1 syst~m;i'LcI~di~g,s~bmijt~i;"~j,~¡eq¡i?r"'rail~,~iiding c,,';'poh~nís'" 1ci, Exteri"rlightios'¡¡;'"onfròireq¡¡iremë"ots'
nrusses,precast,metalbUlldlng,etc,)" ."',.,..;,;\"",;~. 11, Interiorlighting&controlrequirements'
""2' Ff;~;Prótecii"h'~~~ieiÌìš'(Sprinklers, alarms, smoke detectors) designed, 12, Ail conditions of iighting plan approval
, instälied,'and'\èsted (including forward flow on back ftow devices) by and applicable variances
appropriately registered professionals
3 Shaft and stairway enclosure
4, Ex.s including exit and directional lights
5, Fire-resistive construction, enclosure of hazards, fire wails, labeled doors, class 0 HVAC ITEMS
of construction, fire stopped penetrations
6, Sanitation system (toilets, sinks, drinking facilities)
7, Barrier-free including Comm 18 elevators and lifts
8. Energy envelope requirements
g, All cond.ions of building plan approval and applicable variances
The following items are not in compliance and must be addressed:
I, HVAC system including final test
2, All conditions of HVAC plan approval and
applicable variances
B) 0 Statement of Noncompliance
Due to the following listed violations, this project is not ready for occupancy:
C) 0 Supervising Professional Withdrawn From Project (Use A or B above to indicate
0) DProjeêt'Àbandollêd¡;"i,""" ,"" -,;,c.
3. SUPERV/$ÌNGPRÒFE'SSIONÄCs"IGNATURE FOR:
ABu;~in¡¡ ÔH~A¿ôii;l1ti~;~"'; "i5 ,;, 'R"
";""<:"¡,,,,," Name (please print or type)
4'26> "'4-4-ìè'JeUstomeiIDIf?;.'7 I!- 21
"','" """','" ,"","; ,¡.) i, ",XI 0" ,J';nv
;¡""f"!I,'.""'"
SBD-9720 (RO2/2004)
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